Brownie Event Consent Form

Information and Consent for
Event/Activity
Name of event
Brownie Fabfest 2015
Part I – to be completed by the Leader. The parent* should retain a copy of all the information in Part I.
Please return this form to your unit leader
By 26th June 2015
(name)
(date)
Proposed activity(ies)
Fair ground rides
Bouncy castle
Giant Inflatable
Circus skills
Variety of fairgrounds stalls (hook a duck, tin can alley, buzz wire etc)
painting
Ground,
Tabley, Knutsford, Cheshire WA16 0HJ
Location Cheshire ShowFace
Glitter tattoos
Start date and time 6pm
Disco - strobe lighting
Shop
Finish date and time 9.45pm
Cost £10
Travel/transport information
✔ This is a large-scale event (100 participants or more)
Additional information
Bring a picnic tea in a disposal bag.
Bring pocket money in change in a purse with name on.
Please bring the appropriate clothing for the weather - wet weather clothes or sun hats & sun cream
Appropriate footware as in a field.
Continues on next page !
© Girlguiding 2014
Information and Consent for Event/Activity
1 of 2
Part II – to be completed by the parent of participants aged under 18.
This form can be returned electronically.
Participant’s full name
Participant’s membership number
Age at start of event
Unit name
If your daughter has any health, faith, cultural or dietary needs (including allergies, medication to be
administered etc) that are relevant to this event, please provide details including any additional information her
Leaders may need to know. (If the event involves an overnight stay you will also be given a Health Information
form asking for more detailed information.)
If the event includes water activities, can the participant swim 50 metres?
Yes
No
NOTE: Please label any medication with your daughter’s name and provide clear instructions for its use. If
applicable, ensure that a spare, clearly labelled inhaler or EpiPen is brought to the event to be held by the first
aider.
Emergency contact
Please give details of a person who will be contactable at all times during the event/activity.
Name
Telephone 1
Telephone 2
Address
How do they know the participant?
Consent
I give permission for my daughter (named overleaf) to take part in
(event/activity) and for the medication noted here to be administered (if applicable).
The photographic and video permissions you have given in your daughter’s Starting Rainbows/Brownies/
Guides/The Senior Section form will apply at this event/activity.
The only exception to this is at large-scale events (as identified in Part 1) where these permissions do not
apply. At these events it is understood that photographs and videos of your daughter may be taken and used
immediately for event publicity purposes (eg social media). If you do not wish for this to happen please talk
to your daughter’s Leader, who will be able to inform the event organisers.
Parent’s name
Date
* Where the terms ‘parent’ and ‘daughter’ are used, they refer to any adult with parental responsibility, and their ward.
© Girlguiding 2014
Information and Consent for Event/Activity
2 of 2